sambasafety.com Open in urlscan Pro
104.196.179.44  Public Scan

Submitted URL: http://go.solutions.sambasafety.com/Njk3LVNQTi05NDQAAAGDf-TCT7KwBf9EpSFrBubsaL7GBbm1SbCNXGwduuO1pPV-C7C-FHouFVZDj65wApTYc5S1Paw=
Effective URL: https://sambasafety.com/blog/authorization-for-enrollment/?utm_source=marketo&utm_medium=email&utm_campaign=EM-Qorta-Aut...
Submission: On March 31 via api from US — Scanned from DE

Form analysis 4 forms found in the DOM

<form id="mktoForm_1461" novalidate="novalidate" class="mktoForm mktoHasWidth mktoLayoutLeft" style="font-size: 13px; color: rgb(51, 51, 51); width: 288px;" __bizdiag="-644701893" __biza="WJ__">
  <style type="text/css"></style>
  <div class="mktoFormRow">
    <div class="mktoFieldDescriptor mktoFormCol" style="margin-bottom: 5px;">
      <div class="mktoOffset" style="width: 5px;"></div>
      <div class="mktoFieldWrap mktoRequiredField"><label for="FirstName" id="LblFirstName" class="mktoLabel mktoHasWidth" style="width: 100px;">
          <div class="mktoAsterix">*</div>First Name
        </label>
        <div class="mktoGutter mktoHasWidth" style="width: 5px;"></div><input id="FirstName" name="FirstName" placeholder="First Name" maxlength="255" aria-labelledby="LblFirstName InstructFirstName" type="text"
          class="mktoField mktoTextField mktoHasWidth mktoRequired" aria-required="true" style="width: 150px;"><span id="InstructFirstName" tabindex="-1" class="mktoInstruction"></span>
        <div class="mktoClear"></div>
      </div>
      <div class="mktoClear"></div>
    </div>
    <div class="mktoClear"></div>
  </div>
  <div class="mktoFormRow">
    <div class="mktoFieldDescriptor mktoFormCol" style="margin-bottom: 5px;">
      <div class="mktoOffset" style="width: 5px;"></div>
      <div class="mktoFieldWrap mktoRequiredField"><label for="LastName" id="LblLastName" class="mktoLabel mktoHasWidth" style="width: 100px;">
          <div class="mktoAsterix">*</div>Last Name
        </label>
        <div class="mktoGutter mktoHasWidth" style="width: 5px;"></div><input id="LastName" name="LastName" placeholder="Last Name" maxlength="255" aria-labelledby="LblLastName InstructLastName" type="text"
          class="mktoField mktoTextField mktoHasWidth mktoRequired" aria-required="true" style="width: 150px;"><span id="InstructLastName" tabindex="-1" class="mktoInstruction"></span>
        <div class="mktoClear"></div>
      </div>
      <div class="mktoClear"></div>
    </div>
    <div class="mktoClear"></div>
  </div>
  <div class="mktoFormRow">
    <div class="mktoFieldDescriptor mktoFormCol" style="margin-bottom: 5px;">
      <div class="mktoOffset" style="width: 5px;"></div>
      <div class="mktoFieldWrap mktoRequiredField"><label for="Email" id="LblEmail" class="mktoLabel mktoHasWidth" style="width: 100px;">
          <div class="mktoAsterix">*</div>Email Address:
        </label>
        <div class="mktoGutter mktoHasWidth" style="width: 5px;"></div><input id="Email" name="Email" placeholder="Business Email" maxlength="255" aria-labelledby="LblEmail InstructEmail" type="email"
          class="mktoField mktoEmailField mktoHasWidth mktoRequired" aria-required="true" style="width: 150px;"><span id="InstructEmail" tabindex="-1" class="mktoInstruction"></span>
        <div class="mktoClear"></div>
      </div>
      <div class="mktoClear"></div>
    </div>
    <div class="mktoClear"></div>
  </div>
  <div class="mktoFormRow">
    <div class="mktoFieldDescriptor mktoFormCol" style="margin-bottom: 5px;">
      <div class="mktoOffset" style="width: 5px;"></div>
      <div class="mktoFieldWrap mktoRequiredField"><label for="Phone" id="LblPhone" class="mktoLabel mktoHasWidth" style="width: 100px;">
          <div class="mktoAsterix">*</div>Phone Number
        </label>
        <div class="mktoGutter mktoHasWidth" style="width: 5px;"></div><input id="Phone" name="Phone" placeholder="Phone" maxlength="255" aria-labelledby="LblPhone InstructPhone" type="tel" class="mktoField mktoTelField mktoHasWidth mktoRequired"
          aria-required="true" style="width: 150px;"><span id="InstructPhone" tabindex="-1" class="mktoInstruction"></span>
        <div class="mktoClear"></div>
      </div>
      <div class="mktoClear"></div>
    </div>
    <div class="mktoClear"></div>
  </div>
  <div class="mktoFormRow">
    <div class="mktoFieldDescriptor mktoFormCol" style="margin-bottom: 5px;">
      <div class="mktoOffset" style="width: 5px;"></div>
      <div class="mktoFieldWrap mktoRequiredField"><label for="Number_of_Employees__c" id="LblNumber_of_Employees__c" class="mktoLabel mktoHasWidth" style="width: 100px;">
          <div class="mktoAsterix">*</div>Number of Employees
        </label>
        <div class="mktoGutter mktoHasWidth" style="width: 5px;"></div><select id="Number_of_Employees__c" name="Number_of_Employees__c" aria-labelledby="LblNumber_of_Employees__c InstructNumber_of_Employees__c"
          class="mktoField mktoHasWidth mktoRequired" aria-required="true" style="width: 150px;">
          <option value="">Select...</option>
          <option value="1-99">1-99</option>
          <option value="100-2999">100-2999</option>
          <option value="3000-6999">3000-6999</option>
          <option value="7000+">7000+</option>
        </select><span id="InstructNumber_of_Employees__c" tabindex="-1" class="mktoInstruction"></span>
        <div class="mktoClear"></div>
      </div>
      <div class="mktoClear"></div>
    </div>
    <div class="mktoClear"></div>
  </div>
  <div class="mktoFormRow">
    <div class="mktoFieldDescriptor mktoFormCol" style="margin-bottom: 5px;">
      <div class="mktoOffset" style="width: 5px;"></div>
      <div class="mktoFieldWrap mktoRequiredField"><label for="State" id="LblState" class="mktoLabel mktoHasWidth" style="width: 100px;">
          <div class="mktoAsterix">*</div>State:
        </label>
        <div class="mktoGutter mktoHasWidth" style="width: 5px;"></div><select id="State" name="State" aria-labelledby="LblState InstructState" class="mktoField mktoHasWidth mktoRequired" aria-required="true" style="width: 150px;">
          <option value="">Select...</option>
          <option value="AK">AK</option>
          <option value="AL">AL</option>
          <option value="AR">AR</option>
          <option value="AZ">AZ</option>
          <option value="CA">CA</option>
          <option value="CO">CO</option>
          <option value="CT">CT</option>
          <option value="DE">DE</option>
          <option value="FL">FL</option>
          <option value="GA">GA</option>
          <option value="HI">HI</option>
          <option value="IA">IA</option>
          <option value="ID">ID</option>
          <option value="IL">IL</option>
          <option value="IN">IN</option>
          <option value="KS">KS</option>
          <option value="KY">KY</option>
          <option value="LA">LA</option>
          <option value="MA">MA</option>
          <option value="MD">MD</option>
          <option value="ME">ME</option>
          <option value="MI">MI</option>
          <option value="MN">MN</option>
          <option value="MO">MO</option>
          <option value="MS">MS</option>
          <option value="MT">MT</option>
          <option value="NC">NC</option>
          <option value="ND">ND</option>
          <option value="NE">NE</option>
          <option value="NH">NH</option>
          <option value="NJ">NJ</option>
          <option value="NM">NM</option>
          <option value="NV">NV</option>
          <option value="NY">NY</option>
          <option value="OH">OH</option>
          <option value="OK">OK</option>
          <option value="OR">OR</option>
          <option value="PA">PA</option>
          <option value="RI">RI</option>
          <option value="SC">SC</option>
          <option value="SD">SD</option>
          <option value="TN">TN</option>
          <option value="TX">TX</option>
          <option value="UT">UT</option>
          <option value="VA">VA</option>
          <option value="VT">VT</option>
          <option value="WA">WA</option>
          <option value="WI">WI</option>
          <option value="WV">WV</option>
          <option value="WY">WY</option>
        </select><span id="InstructState" tabindex="-1" class="mktoInstruction"></span>
        <div class="mktoClear"></div>
      </div>
      <div class="mktoClear"></div>
    </div>
    <div class="mktoClear"></div>
  </div>
  <div class="mktoFormRow">
    <div class="mktoFieldDescriptor mktoFormCol" style="margin-bottom: 5px;">
      <div class="mktoOffset" style="width: 5px;"></div>
      <div class="mktoFieldWrap mktoRequiredField"><label for="Company" id="LblCompany" class="mktoLabel mktoHasWidth" style="width: 100px;">
          <div class="mktoAsterix">*</div>Company Name:
        </label>
        <div class="mktoGutter mktoHasWidth" style="width: 5px;"></div><input id="Company" name="Company" placeholder="Company Name" maxlength="50" aria-labelledby="LblCompany InstructCompany" type="text"
          class="mktoField mktoTextField mktoHasWidth mktoRequired" aria-required="true" style="width: 150px;"><span id="InstructCompany" tabindex="-1" class="mktoInstruction"></span>
        <div class="mktoClear"></div>
      </div>
      <div class="mktoClear"></div>
    </div>
    <div class="mktoClear"></div>
  </div>
  <div class="mktoFormRow">
    <div class="mktoFieldDescriptor mktoFormCol" style="margin-bottom: 5px;">
      <div class="mktoOffset" style="width: 5px;"></div>
      <div class="mktoFieldWrap mktoRequiredField"><label for="Title" id="LblTitle" class="mktoLabel mktoHasWidth" style="width: 100px;">
          <div class="mktoAsterix">*</div>Job Title
        </label>
        <div class="mktoGutter mktoHasWidth" style="width: 5px;"></div><input id="Title" name="Title" placeholder="Job Title" maxlength="255" aria-labelledby="LblTitle InstructTitle" type="text"
          class="mktoField mktoTextField mktoHasWidth mktoRequired" aria-required="true" style="width: 150px;"><span id="InstructTitle" tabindex="-1" class="mktoInstruction"></span>
        <div class="mktoClear"></div>
      </div>
      <div class="mktoClear"></div>
    </div>
    <div class="mktoClear"></div>
  </div>
  <div class="mktoFormRow">
    <div class="mktoFieldDescriptor mktoFormCol" style="margin-bottom: 5px;">
      <div class="mktoOffset" style="width: 5px;"></div>
      <div class="mktoFieldWrap"><label for="honeypot" id="Lblhoneypot" class="mktoLabel mktoHasWidth" style="width: 100px;">
          <div class="mktoAsterix">*</div>Honeypot:
        </label>
        <div class="mktoGutter mktoHasWidth" style="width: 5px;"></div><input id="honeypot" name="honeypot" maxlength="255" aria-labelledby="Lblhoneypot Instructhoneypot" type="text" class="mktoField mktoTextField mktoHasWidth"
          style="width: 150px;"><span id="Instructhoneypot" tabindex="-1" class="mktoInstruction"></span>
        <div class="mktoClear"></div>
      </div>
      <div class="mktoClear"></div>
    </div>
    <div class="mktoClear"></div>
  </div>
  <div class="mktoFormRow"><input type="hidden" name="utm_source" class="mktoField mktoFieldDescriptor mktoFormCol" value="marketo" style="margin-bottom: 5px;">
    <div class="mktoClear"></div>
  </div>
  <div class="mktoFormRow"><input type="hidden" name="utm_medium" class="mktoField mktoFieldDescriptor mktoFormCol" value="email" style="margin-bottom: 5px;">
    <div class="mktoClear"></div>
  </div>
  <div class="mktoFormRow"><input type="hidden" name="utm_campaign" class="mktoField mktoFieldDescriptor mktoFormCol" value="EM-Qorta-Auth-Enroll" style="margin-bottom: 5px;">
    <div class="mktoClear"></div>
  </div>
  <div class="mktoFormRow"><input type="hidden" name="lastUTMSource" class="mktoField mktoFieldDescriptor mktoFormCol" value="marketo" style="margin-bottom: 5px;">
    <div class="mktoClear"></div>
  </div>
  <div class="mktoFormRow"><input type="hidden" name="lastUTMMedium" class="mktoField mktoFieldDescriptor mktoFormCol" value="email" style="margin-bottom: 5px;">
    <div class="mktoClear"></div>
  </div>
  <div class="mktoFormRow"><input type="hidden" name="lastUTMCampaign" class="mktoField mktoFieldDescriptor mktoFormCol" value="EM-Qorta-Auth-Enroll" style="margin-bottom: 5px;">
    <div class="mktoClear"></div>
  </div>
  <div class="mktoFormRow"><input type="hidden" name="utm_adgroup" class="mktoField mktoFieldDescriptor mktoFormCol" value="-" style="margin-bottom: 5px;">
    <div class="mktoClear"></div>
  </div>
  <div class="mktoFormRow"><input type="hidden" name="utm_keyword" class="mktoField mktoFieldDescriptor mktoFormCol" value="-" style="margin-bottom: 5px;">
    <div class="mktoClear"></div>
  </div>
  <div class="mktoFormRow"><input type="hidden" name="utm_gclid" class="mktoField mktoFieldDescriptor mktoFormCol" value="" style="margin-bottom: 5px;">
    <div class="mktoClear"></div>
  </div>
  <div class="mktoFormRow"><input type="hidden" name="utm_device" class="mktoField mktoFieldDescriptor mktoFormCol" value="-" style="margin-bottom: 5px;">
    <div class="mktoClear"></div>
  </div>
  <div class="mktoButtonRow"><span class="mktoButtonWrap mktoNative" style="margin-left: 110px;"><button type="submit" class="mktoButton">Submit</button></span></div><input type="hidden" name="formid" class="mktoField mktoFieldDescriptor"
    value="1461"><input type="hidden" name="munchkinId" class="mktoField mktoFieldDescriptor" value="697-SPN-944">
</form>

<form id="mktoForm_1705" novalidate="novalidate" class="mktoForm mktoHasWidth mktoLayoutLeft" style="font-family: inherit; font-size: 13px; color: rgb(51, 51, 51); width: 271px;" __bizdiag="326257616" __biza="WJ__">
  <style type="text/css"></style>
  <div class="mktoFormRow">
    <div class="mktoFieldDescriptor mktoFormCol" style="margin-bottom: 5px;">
      <div class="mktoOffset" style="width: 5px;"></div>
      <div class="mktoFieldWrap mktoRequiredField"><label for="Email" id="LblEmail" class="mktoLabel mktoHasWidth" style="width: 100px;">
          <div class="mktoAsterix">*</div>Email Address
        </label>
        <div class="mktoGutter mktoHasWidth" style="width: 5px;"></div><input id="Email" name="Email" placeholder="Email" maxlength="255" aria-labelledby="LblEmail InstructEmail" type="email" class="mktoField mktoEmailField mktoHasWidth mktoRequired"
          aria-required="true" style="width: 150px;"><span id="InstructEmail" tabindex="-1" class="mktoInstruction"></span>
        <div class="mktoClear"></div>
      </div>
      <div class="mktoClear"></div>
    </div>
    <div class="mktoClear"></div>
  </div>
  <div class="mktoFormRow">
    <div class="mktoFieldDescriptor mktoFormCol" style="margin-bottom: 5px;">
      <div class="mktoOffset" style="width: 5px;"></div>
      <div class="mktoFieldWrap"><label for="honeypot" id="Lblhoneypot" class="mktoLabel mktoHasWidth" style="width: 100px;">
          <div class="mktoAsterix">*</div>Honeypot
        </label>
        <div class="mktoGutter mktoHasWidth" style="width: 5px;"></div><input id="honeypot" name="honeypot" maxlength="255" aria-labelledby="Lblhoneypot Instructhoneypot" type="text" class="mktoField mktoTextField mktoHasWidth"
          style="width: 150px;"><span id="Instructhoneypot" tabindex="-1" class="mktoInstruction"></span>
        <div class="mktoClear"></div>
      </div>
      <div class="mktoClear"></div>
    </div>
    <div class="mktoClear"></div>
  </div>
  <div class="mktoFormRow"><input type="hidden" name="utm_adgroup" class="mktoField mktoFieldDescriptor mktoFormCol" value="-" style="margin-bottom: 5px;">
    <div class="mktoClear"></div>
  </div>
  <div class="mktoFormRow"><input type="hidden" name="utm_keyword" class="mktoField mktoFieldDescriptor mktoFormCol" value="-" style="margin-bottom: 5px;">
    <div class="mktoClear"></div>
  </div>
  <div class="mktoFormRow"><input type="hidden" name="utm_gclid" class="mktoField mktoFieldDescriptor mktoFormCol" value="" style="margin-bottom: 5px;">
    <div class="mktoClear"></div>
  </div>
  <div class="mktoFormRow"><input type="hidden" name="utm_device" class="mktoField mktoFieldDescriptor mktoFormCol" value="-" style="margin-bottom: 5px;">
    <div class="mktoClear"></div>
  </div>
  <div class="mktoFormRow"><input type="hidden" name="utm_source" class="mktoField mktoFieldDescriptor mktoFormCol" value="marketo" style="margin-bottom: 5px;">
    <div class="mktoClear"></div>
  </div>
  <div class="mktoFormRow"><input type="hidden" name="utm_medium" class="mktoField mktoFieldDescriptor mktoFormCol" value="email" style="margin-bottom: 5px;">
    <div class="mktoClear"></div>
  </div>
  <div class="mktoFormRow"><input type="hidden" name="utm_campaign" class="mktoField mktoFieldDescriptor mktoFormCol" value="EM-Qorta-Auth-Enroll" style="margin-bottom: 5px;">
    <div class="mktoClear"></div>
  </div>
  <div class="mktoButtonRow"><span class="mktoButtonWrap mktoNative" style="margin-left: 88px;"><button type="submit" class="mktoButton">SIGN ME UP</button></span></div><input type="hidden" name="formid" class="mktoField mktoFieldDescriptor"
    value="1705"><input type="hidden" name="munchkinId" class="mktoField mktoFieldDescriptor" value="697-SPN-944">
</form>

<form novalidate="novalidate" class="mktoForm mktoHasWidth mktoLayoutLeft" style="font-family: inherit; font-size: 13px; color: rgb(51, 51, 51); visibility: hidden; position: absolute; top: -500px; left: -1000px; width: 1600px;"
  __bizdiag="-315826219" __biza="WJ__"></form>

<form novalidate="novalidate" class="mktoForm mktoHasWidth mktoLayoutLeft" style="font-size: 13px; color: rgb(51, 51, 51); visibility: hidden; position: absolute; top: -500px; left: -1000px; width: 1600px;" __bizdiag="-315826219" __biza="WJ__">
</form>

Text Content

 * Login
 * Help

 * Solutions
   * Monitoring
   * Insurance
   * Pre-Employment
 * Products
   * Qorta
   * Volta
   * Qorta University
 * Resources
   * Resources
   * Blog
   * Claims Savings Calculator
 * About
   * About Us
   * Partners
   * Careers
 * Contact

Estimate Your Savings
 * Solutions
   * Monitoring
   * Insurance
   * Pre-Employment
 * Products
   * Qorta
   * Volta
   * Qorta University
 * Resources
   * Resources
   * Blog
   * Claims Savings Calculator
 * About
   * About Us
   * Partners
   * Careers
 * Contact

 * Login
 * Help

Estimate Your Savings


NEW QORTA FEATURE STREAMLINES FCRA COMPLIANCE PAPERWORK AND DRIVER MONITORING
ENROLLMENT

Back to Blog

Share to:

AddThis Sharing Buttons
Share to TwitterTwitterShare to FacebookFacebookShare to LinkedInLinkedIn

One of our many priorities at SambaSafety is to reduce our customers’
administrative burden. We are always innovating to ensure each of our products
provides enterprise-level convenience.

Take our driver monitoring software, Qorta, for example. We have customers that
employ thousands of drivers, so creating new driver profiles and gathering the
required compliance and disclosure paperwork can be a full-time job in itself.
If only there was a way to streamline this onboarding process and put the tool
in the hands of the employee…

Enter Authorization for Enrollment.


WHAT IS AUTHORIZATION FOR ENROLLMENT?

Just like when you sign disclosures and authorizations when applying for a
credit card or car loan, the drivers that you are monitoring will need to go
through a similar process. Authorization for Enrollment collects driver
information and any required compliance paperwork from the driver – from forms
required for Fair Credit Reporting Act (FCRA) compliance to any required
state-specific forms. It then automatically creates a profile for that driver in
Qorta with the driver’s information and signed forms.

Check out the video below to explore the functionality of Authorization for
Enrollment with two of our product team experts.



 





HOW DOES IT WORK?

As a Qorta administrator, you’ll receive a link to a secure webpage that can be
shared with your drivers. Each driver will then access the link to enter their
license information, as well as read and eSign any required compliance forms.
Upon signing the documents, the driver will be added to Qorta, where you can
choose to enroll them in monitoring and purchase an MVR.




HOW DOES THIS BENEFIT OUR QORTA CUSTOMERS?

This process accelerates the process of gathering license information and
compliance paperwork to enroll drivers into monitoring. Instead of wasting your
time on manual collection and uploading, drivers populate in your account
quickly, thus reducing your liability and risk sooner. You can…

 * Collect driver information and required releases straight from the driver
 * Accelerate enrollment of drivers into monitoring
 * Store compliance documents online in the driver profile

 


WANT MORE INFO ON AUTHORIZATION FOR ENROLLMENT?

To further explore the capabilities and benefits of Authorization for Enrollment
in Qorta, fill out the form below to schedule a demo with our solution
specialists.


SCHEDULE YOUR DEMO

*
First Name




*
Last Name




*
Email Address:




*
Phone Number




*
Number of Employees

Select...1-99100-29993000-69997000+



*
State:

Select...AKALARAZCACOCTDEFLGAHIIAIDILINKSKYLAMAMDMEMIMNMOMSMTNCNDNENHNJNMNVNYOHOKORPARISCSDTNTXUTVAVTWAWIWVWY



*
Company Name:




*
Job Title




*
Honeypot:














Submit


SUBSCRIBE TO OUR BLOG

Never miss a post! Share your email with us to have the latest posts sent to
your inbox.

*
Email Address




*
Honeypot











SIGN ME UP

 * Solutions
   * Monitoring
   * Insurance
   * Pre-Employment

 * Products
   * Qorta
   * Volta
   * Qorta University

 * About
   * About Us
   * Partners
   * Careers

 * Resources
   * Blog
   * Compliance Information
   * Privacy Policy

 * Help
   * Support
   * Consumer Disputes
   * Submit A Ticket

855.237.2622

 * 
 * 
 * 

©SambaSafety 2022






Hi there! We want to let you know that our site uses cookies to help provide you
with a great experience and to help us understand how the site is used. We
thought you'd like to know!

AcceptTake me back



×
We Value Your Privacy
Settings
NextRoll, Inc. ("NextRoll") and our advertising partners use cookies and similar
technologies on this site and use personal data (e.g., your IP address). If you
consent, the cookies, device identifiers, or other information can be stored or
accessed on your device for the purposes described below. You can click "Allow
All" or "Decline All" or click Settings above to customize your consent.
NextRoll and our advertising partners process personal data to: ● Store and/or
access information on a device; ● Create a personalized content profile; ●
Select personalised content; ● Personalized ads, ad measurement and audience
insights; ● Product development. For some of the purposes above, our advertising
partners: ● Use precise geolocation data. Some of our partners rely on their
legitimate business interests to process personal data. View our advertising
partners if you wish to provide or deny consent for specific partners, review
the purposes each partner believes they have a legitimate interest for, and
object to such processing.
If you select Decline All, you will still be able to view content on this site
and you will still receive advertising, but the advertising will not be tailored
for you. You may change your setting whenever you see the Manage consent
preferences on this site.
Decline All
Allow All
Manage consent preferences